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New Hampshire rates for HCPCS 15220

Fth/Gft Free W/Direct Closure S/A/L 20 Sq Cm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,085.63 / $2,331.21 / $2,684.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$465.67 / $589.09 / $794.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,449.90 / $1,611.00 / $3,700.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.79 / $929.66 / $1,455.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,751.69 / $1,751.69 / $1,812.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$664.65 / $1,145.11 / $1,918.39
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$778.44 / $1,513.29 / $2,430.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,611.00 / $8,611.00 / $8,611.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$837.03 / $1,258.57 / $2,718.88
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$529.94 / $673.41 / $912.45